Reconstruction of the unstable proximal interphalangeal joint: The double superficialis tenodesis

Chronic Recurrent Dislocation of the Distal Interphalangeal Joint of the Finger: Case Report

“…5 Subsequently, other reports described the original techniques for reconstruction of the volar plate. 6,7 The condition is caused by untreated or underdiagnosed hyperextension injuries, and surgical stabilization is indicated if the patient is sufficiently symptomatic. 2 Dorsal dislocations of the DIP joint without fracture can be treated without much complication.…”

Complications of Proximal Interphalangeal Joint Injuries

“…Previous literature has demonstrated satisfactory operative outcomes with correction of the swan-neck deformity after FDS tenodesis. 109-111 In one example, Catalano et al 110 reviewed their 15 years of experience treating patients with post-traumatic chronic hyperextension of the PIP joint using FDS tenodesis (Figure 16). Out of 12 total patients, 10 returned with a good or excellent outcome, and the average ROM improved from 31°-92° preoperatively to 12°-100° postoperatively.…”

Volar Tenodesis for the Treatment of Swan-neck Deformity; A Systematic Review

“…Proximally it is attached either directly into the bone using a pull-out wire technique or can be made at the thickened margin of the flexor tendon sheath. Lane CS (1978) 26) Combines Curtis' technique with use of the remaining slip of the superficialis tendon to re-establish a collateral ligament. Karthaus and van der Werf (1986) 17) Splits the ulnar FDS tendon in equal parts and uses only one part, leaving the other intact.…”

“…Curtis (1980), 24) with various modifications described by Nalebuff and Millender (1975), 25) Lane CS (1978), 26) Karthaus and van der Werf (1986), 17) and Brulard et al (2012) ( Table 3). 27) Littler (1952), 28) first described a volar tenodesis, using a strip of the flexor digitorum superficialis (FDS) tendon inserted into the proximal phalanx; there are only limited case reports about its outcome (Littler I).…”